The prognosis of convulsions during childhood shigellosis.
We examined the long-term outcome in 111 children who had convulsions during shigellosis and were followed for 3-18 years after the incident. No deaths or persistent motor deficits occurred as sequellae. Poor coordination of fine hand movements were noted in 3.3% of the 92 children who had no pre-existing neurological abnormality. Only 1 child developed epilepsy by the age of 8 years. Of the children 15.7% had recurrent febrile seizures. The only risk factor identified for febrile seizures following convulsions in shigellosis was a previous history (P less than 0.01). These observations suggest that convulsions in shigellosis have a favourable prognosis, and do not necessitate long-term follow up.
Zvulunov
A
A
Department of Paediatrics A, Beilinson Medical Center, Petah Tiqva, Israel.
Lerman
M
M
Ashkenazi
S
S
Weitz
R
R
Nitzan
M
M
Dinari
G
G
D002648:Child; D002675:Child, Preschool; D004405:Dysentery, Bacillary / Q000150:complications*; D004827:Epilepsy / Q000209:etiology*; D005500:Follow-Up Studies; D006801:Humans; D009048:Motor Skills; D011379:Prognosis; D012640:Seizures / Q000150:complications; D003294:Seizures, Febrile / Q000150:complications / Q000209:etiology*